Oregon Judicial Department : Oregon Courts Home …
CRB CASE NOTES SHEET Review Date: Date of Last Review:
|MOTHER: | | | |
|Child: |Age: |Father: |Status: |
|Child: |Age: |Father: |Status: |
|Child: |Age: |Father: |Status: |
|Child: |Age: |Father: |Status: |
|Child: |Age: |Father: |Status: |
|Child: |Age: |Father: |Status: |
|Attorney for Child: |Caseworker: |
|Attorney for Mother: |CASA: |
|Attorney for Father: |Other: |
|Case Summary (optional): |
|Please confirm the following: |Been in care since ( months) |
|Voluntary Custody/Placement (y/n): |Plan: |
|Date of Jurisdiction: |Concurrent Plan: |
|Basis of Jurisdiction |
|Mother: |
|Father: |
|ICWA Status of Mother: |__ Signed 1270 Form |
|ICWA Status of Father(s): |__ Signed 1270 Form |
| |__ Signed 1270 Form |
|We will now address placement efforts. |
|Has DHS made __reasonable __active efforts to prevent or eliminate the need for removal of the child from the home? (First review only. Active |
|efforts standard if ICWA applies.) |
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|Has DHS made diligent efforts to place the child with a relative or person who has a caregiver relationship? (Applies in all cases.) |
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|We will now address services to the child. |
|3A. Has DHS ensured that appropriate services are in place to safeguard the child’s safety, health and well-being? (Applies in all cases.) |
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|3B. Has DHS taken appropriate steps to ensure that 1) the substitute care provider is following the reasonable and prudent parent standard, and 2) the|
|child has regular, ongoing opportunities to engage in age appropriate or developmentally appropriate activities? |
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|We will now address efforts the agency has made toward the permanency plan. |
|Has DHS made __reasonable __active efforts to provide services to make it possible for the child to safely return home? (Applies only if plan is|
|“Return to Parent.” Active efforts if ICWA.) |
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|Has DHS made reasonable efforts in accordance with the case plan to place the child in a timely manner, and to complete the steps necessary to |
|finalize the permanent placement, including an interstate placement if appropriate? (Applies only if the plan is NOT “Return to Parent.”) |
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|We will now address progress and compliance issues. |
|Have the parents have made sufficient progress to make it possible for the child to safely return home? |
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|Has DHS has made sufficient efforts in developing the concurrent permanency plan? (Applies only when the plan is return to parent.) |
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|Is DHS in compliance with the case plan and court orders? (Applies in all cases) |
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|Recommendations from last CRB Review: |
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|We will now address the appropriateness of the plan. |
|Is the permanency plan the most appropriate for the child? (Applies in all cases.) |
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|Is there a continuing need for placement? (Applies in all cases.) |
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|Estimated date to leave care: |
Additional finding(s)
a. The next review due date is:
b. The date of the next permanency hearing is: (*NOTE: A permanency hearing is required if the child has been legally free for 6 months and is still not placed for adoption.)
c. Is a recommendation to reschedule the permanency hearing to an earlier date needed to prevent a duplicative review?
d. Did the agency implement the Board’s previous recommendations or reply within 17 days of receipt that they did not intend to do so?
RECOMMENDATIONS
Plan:
Placement:
Services to Parents:
Services to Children:
Parental Involvement in Services:
Visits:
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